Golden Valley Health Center

LBN: Golden Valley Health Center
Golden Valley Health Center is an health care organization with primary practice located at 13161 Jefferson St , Le Grand CA 95333-9766. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Golden Valley Health Center can be contacted via phone (209) 389-1900, or through Weber, Tony via phone (209) 384-6493.

Contact Information

Primary practice address
13161 Jefferson St Le Grand CA 95333-9766
Phone: (209) 389-1900
Fax: (209) 389-1907
Website:
Map and Directions
Authorized official contact:
Name: Weber, Tony
Phone: (209) 384-6493

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 040000373 California

Profile Details

NPI number 1356325310
LBN Legal business name Golden Valley Health Center
DBA Doing business as
Authorized official Weber, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 9th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356325310 NPPES
California MEDICAID CMM71050F
California Other 040000373
California Other ZZZ52122Z

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